Active NPI
Envision Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ENVISION SURGERY CENTER LLC
- Practice address
- 42442 10TH St W
Suite G
Lancaster, CA 93534-7067 - Phone
- (661) 948-4373
- NPI assigned
- Oct 1, 2009
- Last updated
- Oct 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ira Elliot Opatowsky, M.D.
- Title
- Managing Partner
- Phone
- (661) 948-4373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
42442 10TH St W
Suite G
Lancaster, CA 93534-7067
Mailing address
42442 10TH St W
Suite G
Lancaster, CA 93534-7067
Phone (661) 948-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100521000652 | CA | Part B Supplier - Ambulatory Surgical Center | 1153450606 | Practice locations: Lancaster, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Envision Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2005044 | Envision Surgery Center, LLC | Certificate of waiver | Mar 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
42442 10th St W
Lancaster, CA 93534
Phone (661) 726-5329
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Lancaster, CA
- NPI 1659374445
-
- Ophthalmology Physician
- Beverly Hills, CA
- NPI 1124182662
-
- Ophthalmology Physician
- Beverly Hills, CA
- NPI 1053519447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254355200000",
"number": "1467786889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42442 10TH ST W",
"address_2": "SUITE G",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935347067",
"telephone_number": "661-948-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42442 10TH ST W",
"address_2": "SUITE G",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935347067",
"telephone_number": "661-948-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A",
"authorized_official_last_name": "OPATOWSKY",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "ELLIOT",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "661-948-4373",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.